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1386475465
OPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC
NEW YORK, NY
NPI
1386475465
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Entity Type
Organization
Authorized Contact
YUSUPHA DUKUREH
Administrator
347-849-1576
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
OPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC
105 W 125TH ST FRNT 1
NEW YORK, NY 10027-4444
Phone number: 347-872-9006
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Mailing Address
OPTIMAL LIFE INTEGRATIVE HEALTH CLINIC LLC
105 W 125TH ST FRNT 1
NEW YORK, NY 10027-4444
Phone number: 347-872-9006
Copy
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